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S: City: State: Zip: Assessor s Parcel Number (if known): Home Phone: Email: Mailing Address (if different from residential home address) Street and/or P.O. Box: City: State: Zip: Occupation and Business Address Job Title: Business Name: Address (Street and/or P.O. Box): City: State: Zip: Business Phone: Email: Registered Voter Are you registered to vote in Washoe County? Yes No The Washoe County Commission requires that a person be a registered voter in Washoe County (if eligible to vot.

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